| NPI | 1467885236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA rph32259) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 32259) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |